| NPI | 1619118288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: TX 7615987412143) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 7615987412143) |
| Enumeration Date | 2009-03-11 |
| Last Update Date | 2009-03-11 |